Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,818.38 / $5,888.44	Facility		$457.09	$2,818.38	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $407.38 / $707.95	Professional		$234.42	$407.38	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $549.54	Professional		$234.42	$275.42	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $4,466.84	Facility		$1,513.56	$3,467.37	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $741.31	Professional		$346.74	$457.09	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $758.58	Professional		$331.13	$478.63	$758.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $758.58	Professional		$302.00	$512.86	$758.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $724.44	Professional		$416.87	$630.96	$724.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $489.78 / $954.99	Professional		$275.42	$489.78	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,047.13 / $1,995.26	Facility		$199.53	$1,047.13	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $776.25	Professional		$338.84	$501.19	$776.25